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Observation of Therapeutic Effect of Laparoscopy combined with Fiber Bile Duct Endoscopy in the treatment of elderly patients with Common Duct Stones and Gallbladder Stones |
WANG Junke, LIU Jianyong |
The People's Hospital in Yubei District of Chongqing, Chongqing Yubei District 401120, China |
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Abstract Objective: To investigate the clinical effect of laparoscopic combined with fiber bile duct endoscopy in the treatment of elderly patients with common bile duct stones and gallbladder stones. Methods: 88 cases of cholecystolithiasis and choledocholithiasis patients admitted in our hospital during the period from May 2011 to May 2014 were selected and were randomly divided into control group (treated with traditional open surgery, n=44) and observation group (given laparoscope combined with choledochoscope in the treatment, n=44), observed the clinical curative effect of two groups. Results: The two groups were all successful, the observation group patients without laparotomy, postoperative examination showed no residual stones; the amount of bleeding, hospitalization time and postoperative gastrointestinal function recovery time was significantly lower than the control group (P<0.05); The incidence of postoperative complications was significantly higher in the control group than in the observation group, with significant difference (P<0.05). Conclusion: The elderly patients with common bile duct stones and gallbladder stones are treated by laparoscopy combined with fiber bile duct endoscopy. The effect is remarkable, and the patients recover quickly, the wound is small. So it has the promotion value.
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